| NPI | 1851384937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OR MD26024) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MT 36545) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AK 108439) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD60216893) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA C144901) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2021-03-25 |