| NPI | 1316383227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 136531) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R73940) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: AZ 136531) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2020-01-29 |