| NPI | 1760009997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 011653) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 011653) |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2026-08-20 |