| NPI | 1952691792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 280986) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 9779417-1204) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 280986) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: UT 9779417-1204) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2023-06-26 |