| NPI | 1508248600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME170421) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R75072) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61107905) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D87584) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-10-29 |