| NPI | 1073761789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0083573) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U7402) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61417991) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2024-04-05 |