| NPI | 1811986235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME0051721) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME51721) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2021-03-30 |