| NPI | 1699791095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: UT 1689321205) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 35.067614) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-06-21 |