| NPI | 1598923856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2021-00509) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD459361) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09975500) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2021-02-22 |