| NPI | 1942820915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 011017) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 5151014348) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2024-05-31 |