| NPI | 1497748370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M3930) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD424531) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2023-08-28 |