| NPI | 1053516625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA L-233102) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A138800) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-01-22 |