| NPI | 1942401815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME101530) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD447663) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 88435) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20833) | |
| 207R00000X Internal Medicine (Licence: FL ME101530) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-01-03 |