| NPI | 1548580681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 279261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245728) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 245728) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2015-09-03 |