| NPI | 1861985962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 52625) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL52625) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2021-08-12 |