| NPI | 1063737302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60299208) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD476089) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 99431) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2021041430) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 21452) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2024-05-13 |