| NPI | 1710141502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME169206) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.151288) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-48615) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023033013) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2024-10-30 |