| NPI | 1609077015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME121135) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301099281) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 42707) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-10-31 |