| NPI | 1780786285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: GA 70079) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME986924) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX K0451) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 059978) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME98624) | |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2021-08-26 |