| NPI | 1750514261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 0056978) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 101253) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS021904) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 22102) | |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2023-01-04 |