| NPI | 1235427410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 266568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248395) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2016-07-26 |