| NPI | 1942766845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 32961) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 32961) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2023-08-08 |