| NPI | 1376807008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 35048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301100930) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2024-02-01 |