| NPI | 1932493244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 279321) |
| Additional Taxonomies | 2084N0600X (Licence: NY 279321) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2017-04-20 |