NPI | 1295029353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MA 264590) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 264590) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2025-04-04 |