| NPI | 1386063030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX 61718) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 61718) |
| 207R00000X Internal Medicine (Licence: TX BP10050005) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-10-04 |