| NPI | 1194100529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: KY 60461) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD227827) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-00231) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2025010194) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD70045405) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 60461) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: KY 60461) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2025-10-30 |