| NPI | 1154307114 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NY 334454)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-43937)  | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD431650)  | |
| 2084N0600X  (Licence: IA MD-43937)  | |
| 2084N0600X  (Licence: PA MD431650)  | |
| Enumeration Date | 2005-12-21 | 
| Last Update Date | 2025-03-12 |