| NPI | 1144634791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042.0016750) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 321247) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 280155) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2018004028) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2025-10-30 |