NPI | 1700415734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR0073305) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS22804) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2025027394) | |
Enumeration Date | 2020-04-02 |
Last Update Date | 2025-09-30 |