| NPI | 1376761932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 159265) |
| Additional Taxonomies | 2084D0003X (Licence: NJ 159265) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2016-05-23 |