| NPI | 1750810040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 286696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271793) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MA 286696) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2026-01-15 |