| NPI | 1730330176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: TX N1183) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N1183) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2025-10-20 |