| NPI | 1639336480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 254597) |
| Additional Taxonomies | 2084N0600X (Licence: NY 254597) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 254597) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2012-01-18 |