| NPI | 1760757041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FM TRN# 18515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301100641) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2021-03-29 |