NPI | 1467029629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME174428) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4351047931) |
Enumeration Date | 2021-06-07 |
Last Update Date | 2025-10-06 |