| NPI | 1386063808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: MA 1015812) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 290159) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A159938) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 1015812) | |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2023-12-22 |