| NPI | 1114419900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 57943) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: KY 57943) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-07-13 |