| NPI | 1770922031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 103184-875) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD468308) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.03493) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2025-10-06 |