| NPI | 1881109288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 277238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04175) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 000000000000000) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2018-09-28 |