| NPI | 1457511057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: NY 250162) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 250162) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2017-08-10 |