| NPI | 1629229935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2014006971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1439) |
| 207R00000X Internal Medicine (Licence: MO 2014006971) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2021-09-03 |