| NPI | 1003845165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 37553) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 53369) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 104868) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 116414) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-09-08 |