| NPI | 1306097084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T1170) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01086134A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME143886) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11151800) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 75834-20) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2022-01-10 |