| NPI | 1679693907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME109359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 001864) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME109359) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-04-18 |