| NPI | 1750543328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: TX q8044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT193067) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX q8044) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.206461) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX q8044) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2023-06-21 |