| NPI | 1114306677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX BP20057918) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP20057918) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: PA MD468110) | |
| 207R00000X Internal Medicine (Licence: TX BP10052633) | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2020-06-01 |