| NPI | 1346334778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 15822) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME 1862) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 254196-1) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-09-12 |