| NPI | 1841452851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 260034) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 260034) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NY 260034) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2023-09-18 |