| NPI | 1477845584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD215253) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2015029486) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T9019) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036152305) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-42165) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 38049) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 33054) | |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2024-07-19 |