| NPI | 1003302183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NJ 25MP00483700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 10858311-1206) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-10-21 |