| NPI | 1720316037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME116700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 12,504I) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2024-06-05 |