| NPI | 1508138314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME130547) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD472154) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 21043) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 98875) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2021006564) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S6711) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2024-04-05 |