| NPI | 1720531874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PR 21327) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: PR 14069) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 2084N0400X) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 22624) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2024-11-15 |