| NPI | 1841589249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101265116) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35130895) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD171268) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2021-08-02 |