| NPI | 1710555784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 1023276) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME163501) |
| 207R00000X Internal Medicine (Licence: FL ME163501) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2026-06-30 |