| NPI | 1780250860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2025-01820) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 5151015040) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2025-06-25 |