| NPI | 1538556766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD480280) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 73563) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME136327) | |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2025-07-14 |