| NPI | 1376990986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX R3671) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TX R3671) |
| 2084E0001X (Licence: TX R3671) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2024-03-20 |