NPI | 1972034882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 322375) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272439) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 272439) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 67495) | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2023-07-13 |