| NPI | 1649439266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 261049) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX V3977) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2025-03-09 |