| NPI | 1417127333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 242229) |
| Additional Taxonomies | 2084N0600X (Licence: NY 242229) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 242229) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2012-08-29 |