| NPI | 1790768950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 25115) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 25115) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2024-11-13 |