| NPI | 1306149851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD4599394) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PR 12630-I) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME120598) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2016-09-26 |