| NPI | 1700415734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR0073305) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS22804) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2025027394) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-09-30 |