| NPI | 1164482923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042-0009619) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2015-0408) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 18565) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 36407) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-11-10 |