| NPI | 1710952148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 51911) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD069258L) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-02-25 |