| NPI | 1578948790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 35654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.066966) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2022-03-29 |