| NPI | 1912391889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 1023360) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: RI MD20623) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 51388) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2025-05-27 |