| NPI | 1649632787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A167052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211763) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA 211763) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-08-10 |