| NPI | 1689929333 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MA 261391) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 255048) | 
| Enumeration Date | 2012-07-18 | 
| Last Update Date | 2025-06-04 |