| NPI | 1568620136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME170710) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 68204) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2022000473) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.142233) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2024-10-30 |