| NPI | 1871907907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 274212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-260275) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2018-09-08 |