| NPI | 1063771178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME175531) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2025028909) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD224115) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.153266) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61655592) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 282750) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2025-09-03 |