| NPI | 1548634421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A186774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073747) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2025-07-18 |