| NPI | 1619137015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P9096) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 22400) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 110242) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-01-05 |