| NPI | 1972763498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: AZ 61376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-236528) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 61376) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2024-03-11 |