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 |