| NPI | 1568040657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R78532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R78532) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2022-07-05 |