| NPI | 1770870396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD462225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 262551) |
| 207T00000X Neurological Surgery (Licence: MA 262551) | |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2022-07-21 |