| NPI | 1336176569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301070296) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 37134) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301070296) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35.079823) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-09-22 |