| NPI | 1508214297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 283160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267718) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2021-05-21 |