| NPI | 1871161737 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 14211851-1205) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA R-12206) | 
| Enumeration Date | 2021-06-16 | 
| Last Update Date | 2025-06-11 |