| NPI | 1912254194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD 1602) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD 1602) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2014-07-22 |