| NPI | 1588194724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301507037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271322) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-09-12 |