| NPI | 1366730020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101019235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019235) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2020-05-08 |