| NPI | 1558598631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 1044456) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: FL ME124831) |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: NC NCC4114) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME124831) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2022-06-17 |