| NPI | 1457579492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 054151) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD227851) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2025-03420) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD70011104) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2025-11-26 |