| NPI | 1598788697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM 98-284) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM 98284) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-07-01 |