| NPI | 1346555299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME168685) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 29359) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 73277) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2024-07-18 |