| NPI | 1760619209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 254804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-240361) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2016-04-01 |