| NPI | 1003875196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 153846) |
| Additional Taxonomies | 174400000X Specialist (Licence: ME TD121006) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2024-12-06 |