NPI | 1275951022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084E0001X (Licence: FL ME161634) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: VT 042-0015363) |
2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD463482) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME161634) | |
Enumeration Date | 2014-03-30 |
Last Update Date | 2023-05-26 |