| NPI | 1760642961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 258320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 258320) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-09-20 |