| NPI | 1467638601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A106980) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M6998) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME107506) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2022-10-26 |