| NPI | 1467078600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL OS21120) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC LL83213) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-06-27 |