NPI | 1154841351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 287404) |
Additional Taxonomies | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: MA 287404) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2024-05-22 |