| NPI | 1922216191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CT 048689) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 235541) |
| 174400000X Specialist (Licence: CT 048689) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2022-07-19 |