| NPI | 1699986943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M9524) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 68225) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA a93317) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-09-19 |