| NPI | 1225178619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: FL ME110927) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME110927) |
| 2084N0600X (Licence: OK 23181) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-04-17 |