| NPI | 1780664292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS010064L) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD H70713) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-07-21 |