| NPI | 1063466415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 35SI00329700) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ SI03297) |
| 103G00000X Clinical Neuropsychologist (Licence: PA PS006094L) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2019-04-17 |