| NPI | 1447646013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2021-01300) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE #1508) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL OS19210) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-12-21 |