| NPI | 1619347606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD182213) |
| Additional Taxonomies | 2084N0600X (Licence: OR MD182213) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2023-06-05 |