| NPI | 1902066970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 258489) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 390200000X) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 258489) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2020-11-09 |