| NPI | 1992245450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME150670) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: FL ME150670) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TRN24329) | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2023-10-20 |