| NPI | 1730138843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 11722) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 11722) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA COVID19-TMP-427) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-12-23 |