| NPI | 1013116730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 63748) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60342170) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME117068) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2022-05-17 |