| NPI | 1821074253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: FL ME62952) |
| Additional Taxonomies | 2084N0600X (Licence: OH 35 07 8779 C) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME62952) | |
| Enumeration Date | 2005-12-18 |
| Last Update Date | 2023-03-14 |