| NPI | 1871939447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C200512) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 258743) |
| 207R00000X Internal Medicine (Licence: IL 125-062919) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 288362) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C20051) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2026-01-26 |