| NPI | 1154587152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME119274) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61036761) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20572) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 90210) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2023-01-04 |