| NPI | 1972064046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NC 2023-01451) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-01451) |
| 2084N0600X (Licence: NC 2023-01451) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-05-19 |