| NPI | 1831622851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2024-02235) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 11901396-1204) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 343018) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-09-17 |