| NPI | 1821381385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS017503) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OT014206) |
| 207R00000X Internal Medicine (Licence: PA OT014206) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 055352) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2021-02-11 |