| NPI | 1376861948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME137765) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09776500) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 261527) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2019-01-07 |