| NPI | 1699821371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO 45531) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD483639) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 2593) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-08-05 |