| NPI | 1659664373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 26244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-247585) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2018-03-17 |