NPI | 1760865729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2019009602) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-02087) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2022-08-26 |