| NPI | 1902465073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT218172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT218172) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2023-10-16 |