NPI | 1902480874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT222519) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD489700) |
Enumeration Date | 2021-05-07 |
Last Update Date | 2025-07-13 |