NPI | 1962931543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 287317) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271738) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2024-06-11 |