| NPI | 1093150302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NJ 25MA10658900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 286236) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 286236) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-05-21 |