| NPI | 1639437452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME156944) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-01500) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2022045601) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2023-09-29 |