| NPI | 1609212141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC (none at this time)) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY (none at this time)) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC 2084N0400X) | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2014-04-08 |