NPI | 1780066290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301108059) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108059) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2021-03-17 |