| NPI | 1053674903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 76198) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL34916) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0071712) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-03107) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2024-03-19 |