| NPI | 1962883850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: UT 11250301-1205) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 125067394) |
| 207R00000X Internal Medicine (Licence: IL 125067394) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2021-11-18 |