| NPI | 1487265625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 48825) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: TX 48825) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX 48825) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2026-05-08 |