| NPI | 1659501211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME121768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057178) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2015-09-24 |