| NPI | 1760693055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2011-00605) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2011-00605) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-09-25 |