| NPI | 1184152639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 323932-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 66954) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-06-22 |