| NPI | 1922094564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301061433) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301061433) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2021-10-15 |