| NPI | 1912695909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R80107) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R80107) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-05-16 |