| NPI | 1558536508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0062578) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD035646) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101237417) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2022-07-21 |