| NPI | 1649809997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO DR.0072908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0072908) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-08-08 |