| NPI | 1891080255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 333151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013986) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 262355) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2025-08-22 |