| NPI | 1336122639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: GA 64458) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: HI 20322) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME94016) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 51255) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: HI MD-20322) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2025-01-09 |