| NPI | 1083683239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD15852) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AK 2214) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2021-09-09 |