| NPI | 1982809463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 247778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 046779) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2021-02-02 |