| NPI | 1073675930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WA 60310063) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TRN10228) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME107958) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2018-10-26 |