| NPI | 1326311994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CT 054995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 878066) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2016-07-19 |