| NPI | 1265511554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 96-01701) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 70017) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-15670) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101271149) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2023-06-02 |