| NPI | 1619347218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX R4234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 591315) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2018-09-06 |