| NPI | 1477917359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 54419) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY r4200) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: KY 54419) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2021-06-24 |