| NPI | 1649655028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 35.146352) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101268093) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2019-01328) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301107702) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-12-04 |