| NPI | 1669419859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD444754) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 212180) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD444754) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-01-03 |