| NPI | 1497075964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 254646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-244603) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2016-08-08 |