| NPI | 1063673713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X (Licence: RI MD12830) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD12830) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2025-06-10 |