| NPI | 1518342906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TN 59545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204709) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 59545) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-07-06 |