| NPI | 1508353921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: PA MD476638) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA11501300) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD476638) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NJ 25MA11501300) | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2024-03-04 |