| NPI | 1588648588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 042083) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 42083) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C54259) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2023-10-03 |