| NPI | 1770894107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 266365) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MA 266365) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 245187) | |
| 207R00000X Internal Medicine (Licence: MA 245187) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34011364) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2022-10-25 |