| NPI | 1811180086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 45273) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 63238) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 15922) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 54079) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2020-09-03 |