| NPI | 1962857607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV DO2707) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 5101022266) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-04-25 |