| NPI | 1659992196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R78090) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX V7097) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2025-10-13 |