| NPI | 1215262720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD455526) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 61274) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 260093-1) | |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2018-11-12 |