| NPI | 1144376831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 295425) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 6755983-1205) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 291151-01) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-11-04 |