| NPI | 1396325841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61593266) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AK 230242) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-11-20 |