| NPI | 1346350311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301052669) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 36202) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 48069) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 1134) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-04-03 |