| NPI | 1043576226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S8600) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 277028) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MA 277028) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2021-03-05 |