| NPI | 1720426463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 256249) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-11-01 |