| NPI | 1538516299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: FL ME151364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068498) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125068498) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME151364) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2023-01-12 |