| NPI | 1871676676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME136351) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD60264125) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TX M5589) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NH 19164) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301116528) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-01-03 |