| NPI | 1295254290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PR 24468) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP1006738) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 321902) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME167900) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2025-12-08 |