| NPI | 1699161547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101270270) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 76509) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD228578) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD70083569) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C206568) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2026-03-19 |