| NPI | 1912106469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS17973) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101016429) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME DO2109) | |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2022-07-29 |