| NPI | 1699904623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME146436) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-8119) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 72620) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35120856) | |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2022-10-06 |