| NPI | 1588900096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A166596) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 66961-20) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 20296) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01083912A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX R8301) | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2023-09-26 |