NPI | 1942640065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AZ 55333) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN19097) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME132536) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 55333) | |
Enumeration Date | 2013-07-03 |
Last Update Date | 2022-05-27 |