| NPI | 1609516368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX W8086) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A209992) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME179186) | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2026-08-10 |