| NPI | 1861754657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 85642) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 55097) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 81444) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11285000) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2022-03-11 |