| NPI | 1780079376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2019-00693) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NJ 25MB10756800) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-05-13 |