| NPI | 1861787202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME128355) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: FL TRN21888) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2020-03-11 |