| NPI | 1144670928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME146113) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC LL39673) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-07-07 |