| NPI | 1730610023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2023-1114) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 13287217) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 10964110-1205) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.156925) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-08-21 |