| NPI | 1063412310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA07514300) |
| Additional Taxonomies | 2084N0600X (Licence: NJ 25MA07514300) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-05-22 |