| NPI | 1588059869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 59260) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 125XXXXXX) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2022-03-21 |