| NPI | 1609866136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME63707) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: FL ME63707) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2024-01-17 |