| NPI | 1770764110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 240518) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 240518) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 21220) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2021-03-11 |