| NPI | 1073599155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 9601399) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME161681) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NC 96 01399) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2023-06-09 |