| NPI | 1639532187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A154893) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0068885) |
| 2084N0600X (Licence: MT MED-PHYS-LIC-113026) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2024-03678) | |
| 207R00000X Internal Medicine (Licence: IL 1639532187) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT MED-PHYS-LIC-113026) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 71037) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2025-09-23 |