| NPI | 1780620898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX H5821) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2010-01337) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA08689500) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 34465) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 46675) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101245321) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 62983) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01072071A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301500316) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 44881) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 54248) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME103272) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 062248) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036128199) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2021-06-16 |