| NPI | 1245457514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME MD20895) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI LP01025) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD439848) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC MD 34440) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.134858) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2016-08-18 |