| NPI | 1508097742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 131510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241553) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 70185) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 241553) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2022-03-10 |