| NPI | 1871098608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 325093) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 11419718-1205) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-07-17 |