| NPI | 1609168558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME166379) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: FL ME166379) |
| 2084E0001X (Licence: FL 166379) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2024-02-16 |