| NPI | 1881684074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME120321) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 19705) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD478085) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2023-01-04 |