| NPI | 1942733092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD.MD.61411803) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S0439) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD.MD.61411803) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S0439) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-53237) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2026-07-01 |