| NPI | 1598326308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 58012) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 67809) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY TP473) | |
| Enumeration Date | 2019-06-23 |
| Last Update Date | 2024-01-22 |