| NPI | 1144450164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME123809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 27601R) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2024-01-17 |