| NPI | 1750804381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME148031) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 28966) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 65988) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-01-24 |