| NPI | 1679896526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME124628) |
| Additional Taxonomies | 2084N0600X (Licence: FL ME124628) |
| Enumeration Date | 2010-03-07 |
| Last Update Date | 2026-07-06 |