| NPI | 1588820112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P2413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 27029-R) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-09-08 |