| NPI | 1962933028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-01407) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 83724) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NC 2022-01407) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: SC 83724) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-07-15 |