NPI | 1669632154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 14720) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NV 14720) |
207R00000X Internal Medicine (Licence: RI LP01305) | |
Enumeration Date | 2008-06-10 |
Last Update Date | 2023-03-07 |