| NPI | 1710366844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology Brain Injury Medicine (Licence: AZ 60502) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 60502) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A176612) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-05-10 |