NPI | 1023472115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME143641) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 66726) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35C.001678) | |
207R00000X Internal Medicine (Licence: AZ 54864) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024032511) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61273843) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 54864) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A171438) | |
Enumeration Date | 2016-04-05 |
Last Update Date | 2024-10-30 |