| NPI | 1588923395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0082917) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL MD.32952) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2021-03-29 |