| NPI | 1760744973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CT 62559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251283) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 261377) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2019-07-16 |