| NPI | 1760820971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD477231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204929) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 265474) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2022-06-09 |