| NPI | 1649711094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO DR.0066264) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 56853) |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2022-10-04 |