| NPI | 1972237543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 344820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125080544) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.080544) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2026-06-30 |