| NPI | 1487704953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME107636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN10187) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2017-03-29 |