| NPI | 1629344882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY TP075) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 54432) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME160222) | |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2023-02-02 |