| NPI | 1669978714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R78308) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 309219) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2025-12-15 |