| NPI | 1730317710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A155340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195771) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 265076-1) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2021-12-27 |