| NPI | 1669420550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 227233) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 227233) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-03-11 |