| NPI | 1649482340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD213538) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 113458) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 40611) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME158964) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T8451) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023009634) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-04-05 |