| NPI | 1942640065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: AZ 55333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN19097) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME132536) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 55333) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2022-05-27 |