| NPI | 1073776530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 274851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL P3592) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD444442) | |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2016-03-02 |