| NPI | 1760440341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS6654) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2014-00489) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 04089) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-09-21 |