| NPI | 1548201775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME92668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME92668) |
| 207W00000X Ophthalmology (Licence: FL ME92668) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-06-26 |