| NPI | 1356449714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U5139) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61043297) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 20887) | |
| 2084N0600X (Licence: WA MD61043297) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WA MD61043297) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-08-20 |