NPI | 1740203835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 64128-20) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 34401) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G71688) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2024-11-26 |