| NPI | 1023472115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME143641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 54864) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61273843) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 54864) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A171438) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024032511) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 66726) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-09-06 |