| NPI | 1801028790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2014-01018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.056193) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2014-05-27 |