| NPI | 1922453471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 292182) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS024011) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 33208) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MA 292182) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2026-07-10 |