| NPI | 1366786451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME136443) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20696) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61067999) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PR 19314) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD471824) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD200171) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-01-03 |