| NPI | 1730640178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 3728-57) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 10761) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 3728-57) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2021-01-25 |