| NPI | 1811062912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 836) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 60577656) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 105347) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 60081) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH EL31992) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2025-01-08 |