| NPI | 1497333140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD223955) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD.MD.70168149) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2026-09-04 |