| NPI | 1154552396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME140076) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: FL ME140076) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: WV 26285) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME140076) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 26285) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY C2002) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: WV 26285) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2024-01-10 |