| NPI | 1558449603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P4216) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2009-00917) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL28084) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-04-06 |