| NPI | 1710470836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 74320) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: SD 14424) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 349171) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 85698) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD227123) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD70029389) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SD 14424) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2026-08-20 |