| NPI | 1588226419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-49437) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 13389902-1205) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA R-11697) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-08-07 |