| NPI | 1154353332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY A207864) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 207864) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-09-11 |