| NPI | 1649242728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C180368) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 227232) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME134003) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2023-12-22 |