| 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 |