| NPI | 1659944296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA Pending) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI Pending) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |