| NPI | 1003903949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME110208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN10015) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-04-08 |