| NPI | 1831370063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD 22478) |
| Additional Taxonomies | 193400000X Single Specialty (Licence: MD D0080615) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2020-12-11 |