| NPI | 1114284734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NY 286750) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NY 286750) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 286750) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2019-03-14 |