NPI | 1487003505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25ma11105600) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 291837) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2022-02-17 |