| NPI | 1992909592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N1204) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2026-07-24 |