| NPI | 1639638729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TRN29276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN29276) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME147513) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-07-04 |