| NPI | 1326423484 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 2016)  | 
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME151307)  | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME151307)  | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 296831)  | |
| Enumeration Date | 2015-07-29 | 
| Last Update Date | 2023-08-22 |