| NPI | 1386618502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 53825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 53825) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-10-25 |