NPI | 1780612671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301077928) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD440804) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 72794) | |
Enumeration Date | 2006-06-29 |
Last Update Date | 2025-05-09 |