| NPI | 1780819144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 262519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-8635) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2021-04-05 |