NPI | 1053572859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 265100) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 390200000X) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2014-05-06 |