| NPI | 1508158320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D78512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN15932) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2018-03-17 |