| NPI | 1740523935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME137714) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S9616) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD476228) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX TM00743) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301116427) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 27274) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020002032) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 19268) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2024-04-05 |