| NPI | 1609254382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 31386) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: OK 31386) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-12-03 |