| NPI | 1669767562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: ME MD29735) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-140151) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME MD29735) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-09-15 |