| NPI | 1205127826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 82405) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2019-01465) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME131222) | |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2021-09-14 |