| NPI | 1649558461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2016032301) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 7795) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO 2016032301) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2021-01-12 |