NPI | 1013302421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: FL ME164603) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME164603) |
2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: FL ME164603) | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2023-10-25 |