| NPI | 1851449938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID MC0281) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60256140) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.084379) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-01-23 |