| NPI | 1871216341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 029209) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 1508066705) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-05-24 |