| NPI | 1346504545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME MD21577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251878) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2022-07-21 |