| NPI | 1780046417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX TO557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 211411) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TX T0557) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-07-21 |