| NPI | 1912965864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01075283A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: RI MD10088) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 156060) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101259560) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2021-07-01 |