| NPI | 1215314760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 57382) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 67154) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ R75305) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2021-09-01 |