| NPI | 1902059322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0079579) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD223041) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61627164) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2025-05-06 |