| NPI | 1558524603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0092183) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 255214) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101271837) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11167200) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01086268A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME117730) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 76059-20) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2022-01-10 |