| NPI | 1871939447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 288362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-062919) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 258743) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2019-06-28 |