| NPI | 1801978804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101259302) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 264136) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME91054) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-12-28 |