| NPI | 1962842492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME125809) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 19349) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX TM00787) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301116541) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD466725) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020003938) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME125809) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 266344) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2023-08-29 |