| NPI | 1861455263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 220029) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 220029-1) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2024-04-23 |