| NPI | 1497040315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME165263) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 261580) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20765) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-05-08 |