| NPI | 1659786622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 04647) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL UO4130) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2022-02-16 |