| NPI | 1760943385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301511940) |
| Additional Taxonomies | 2084N0600X (Licence: MI 4301511940) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-10-10 |