| NPI | 1003003070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11527300) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 246379) |
| 2084N0600X (Licence: NY 246379) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2022-12-02 |