| NPI | 1730579889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AL 105229) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: AL 1-105229) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2020-12-10 |