| NPI | 1134579006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS16736) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV SL1141) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U4657) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-04-05 |