| NPI | 1609161181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60705049) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD173002) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 57300) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2019-10-30 |