| NPI | 1700378239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: MI 4301511773) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301511773) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-06-05 |