| NPI | 1619409687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 88522) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 10955759-1205) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 10955759-1205) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2022-10-11 |