| NPI | 1689795510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 52493) |
| Additional Taxonomies | 2084N0600X (Licence: KY 52493) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 057622) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 103040) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 201601) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-10-29 |