| NPI | 1093081663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD486992) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0102122) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 275787) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD486992) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2025-12-10 |