| NPI | 1003073636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: NY 248370) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: WI 66216) |
| 208D00000X General Practice (Licence: NY 248370) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2024-07-15 |