| NPI | 1639499015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A129598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:057929) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2021-11-03 |