| NPI | 1669734620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 007337) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R2127) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35C.000293) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2026-02-24 |