| NPI | 1861808685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD463758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207246) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2023-08-23 |