| NPI | 1891722518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME154456) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 63304) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX L6124) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2022-02-01 |