| NPI | 1114053550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T0065) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 61011) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A121860) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-04-12 |