| NPI | 1699127548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301502880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110860) |
| 208D00000X General Practice (Licence: GA 81232) | |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2022-06-29 |