| NPI | 1700454956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2021022168) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID 3481800) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2026-05-07 |