| NPI | 1639584709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS14666) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI DO01407) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2025-09-30 |