NPI | 1629636790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 327951) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT217251) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2024-06-04 |