| NPI | 1407236664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S2295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10054306) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2022-05-04 |