| NPI | 1669155503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: KY FL083) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY FL083) |
| 2084N0600X (Licence: PA LT000977) | |
| 2084N0600X (Licence: KY FL083) | |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-08-06 |