| NPI | 1538519137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61622223) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 72376) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2016019460) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2025-04-09 |