| NPI | 1306898762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 237910-1) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 91475) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR DO201115) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020032177) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20791) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-08-29 |