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 |