| NPI | 1831416064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME174583) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 280072) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: GA 72262) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2025033497) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD462074) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD462074) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2025-09-05 |