| NPI | 1306894217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 197753) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 197753) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-05-14 |