| NPI | 1720643273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WV 33817) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 33817) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2024-07-03 |