| NPI | 1811349822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301501983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110579) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 75814-20) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01086106A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11167300) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2022-01-20 |