| NPI | 1417585308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: KY 59566) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY none) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-08-07 |