| NPI | 1861981938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: SD 13572) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IA R-11102) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2024-06-11 |