| NPI | 1962997791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: LA 346365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215740) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD478326) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-08-07 |