| NPI | 1336403930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 265972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252917) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2022-07-21 |