| NPI | 1912536459 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CO DR.0072600) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0072600) | 
| Enumeration Date | 2020-04-06 | 
| Last Update Date | 2025-02-10 |