| NPI | 1316107147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 261794) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 261794) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2012-06-22 |