| NPI | 1487846119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 097668) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 097668) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |