| NPI | 1235490426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q9443) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20737) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 90008) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD198696) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2024-04-25 |