| NPI | 1649788530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D94527) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MD D94527) |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2023-09-01 |