| NPI | 1538457981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042.0013188) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 275054-1) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 17273) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2015-12-02 |