| NPI | 1952743023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS 13137) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL UO3495) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2026-01-07 |