| NPI | 1629503388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 307868) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 307868) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 307868) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2023-07-07 |