| NPI | 1831719970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 77121) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OH 35.150975) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4351046890) | |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2026-06-05 |