| NPI | 1124215538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME117089) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: FL ME117089) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 201198) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA L#201198) | |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2021-11-10 |