| NPI | 1619993698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A05444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A054444) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-09-20 |