| NPI | 1649429531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-01976) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 27208) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2020-10-25 |