| NPI | 1710147558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 262681) |
| Additional Taxonomies | 2084N0600X (Licence: FL ME 113641) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2013-07-12 |