NPI | 1487066627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: WA MD61066137) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61066137) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2025-02-05 |