| NPI | 1457662256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 279921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198306) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2019-07-10 |