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