NPI | 1780189936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: FL ME173736) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 71276) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2025-06-04 |