| NPI | 1801053574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D78424) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: DC MD039573) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME112829) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-11-03 |