| NPI | 1710503537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI LP06354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020017116) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2024-06-30 |