| NPI | 1679761498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 3679) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2009007653) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101016555) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2021-08-05 |