| NPI | 1588717763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 32057) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 32057) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2021-10-14 |