| NPI | 1619474665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD481664) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME162718) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A179817) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-08-21 |