| NPI | 1346231859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 2045931) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 204593) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2014-01-08 |