| NPI | 1720002694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 48298-020) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 78794) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.128895) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-12-06 |