| NPI | 1639364037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD441860) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 339880) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME157100) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 71857) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101282845) | |
| Enumeration Date | 2007-09-09 |
| Last Update Date | 2024-11-07 |