| NPI | 1366685802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 308796-01) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: SC 39693) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CT 051932) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 051932) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2021-10-29 |