| NPI | 1205887791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 286977) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME76751) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD428027) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-06-29 |