| NPI | 1922298348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 289145) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2007-01307) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 003145-1) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2017-10-26 |