| NPI | 1447511399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2022008927) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 9407929) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 0539087) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2022-12-12 |