NPI | 1730527839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NH 19462) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-204092) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2019-11-01 |