NPI | 1912227760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 266004) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244308) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2015-10-16 |