| NPI | 1184284846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME158689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT218809) |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2023-09-19 |