| NPI | 1275951022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: VA 0101285836) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME161634) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042-0015363) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: FL ME161634) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD463482) | |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2025-10-29 |