| NPI | 1043742703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 18662) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-02279) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0102207418) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 009820) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 93357) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2022-09-19 |