| NPI | 1548502594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60777993) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ml60358780) |
| 207R00000X Internal Medicine (Licence: WA MD60777993) | |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2018-11-07 |