| NPI | 1508971318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 35412) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 035412) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 035412) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-07-27 |