| NPI | 1700046075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 254529) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 250633) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 254529) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2021-02-12 |