| NPI | 1801021886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: PA MD448579) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME161296) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2023-08-21 |