| NPI | 1518342906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TN 59545) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 59545) |
| 207R00000X Internal Medicine (Licence: PA MT204709) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2025-06-20 |