| NPI | 1790914091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AK 108862) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101249104) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60552938) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 60190) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-10-18 |