| NPI | 1104111905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 326303) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA R-9203) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2024-03-17 |