| NPI | 1750803730 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 87743) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301113104) | 
| Enumeration Date | 2017-07-12 | 
| Last Update Date | 2025-07-25 |