| NPI | 1023036340 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P1864) | 
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: TX P1864) | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 180721) | |
| Enumeration Date | 2006-07-17 | 
| Last Update Date | 2024-07-29 |