| NPI | 1922242635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U8224) |
| Additional Taxonomies | 2084N0600X (Licence: GA 98167) |
| 2084N0600X (Licence: MI 5101018265) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2024-08-30 |