| NPI | 1740335264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME105600) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 17726) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301089711) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 64497) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2010-10-01 |