| NPI | 1881937548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: NY 288361) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 288361) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2019-09-24 |