| NPI | 1952669509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: MA 265622) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 265622) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2025-08-20 |