| NPI | 1417416637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA CA191478) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 320665) |
| 208D00000X General Practice (Licence: NY 320665) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-11-13 |