| NPI | 1306157995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: FL ME119683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN15397) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME119683) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2023-03-09 |