| NPI | 1619265717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 60225370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249447) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2016-12-07 |