| NPI | 1811082324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301502481) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: IL 036167323) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 111NN0400X) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 15026) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-12-06 |