| NPI | 1386684256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35083343) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U5314) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024006481) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2026-01-28 |