| NPI | 1043411333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 76566) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.146073) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 107264) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 22385) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME155584) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD478066) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2022032996) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-09-04 |