| NPI | 1891282315 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 65987) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT MED-PHYS-LIC-116649) | 
| Enumeration Date | 2018-04-19 | 
| Last Update Date | 2024-02-19 |