| NPI | 1669632154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 14720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01305) |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NV 14720) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-03-07 |