| 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 |