| NPI | 1972868693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 308811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061651) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125061651) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD176725) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2018-08-17 |