| NPI | 1366062051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME170483) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101285097) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 78878) | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2025-03-05 |