| NPI | 1851679450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD455486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200588) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2016-12-06 |