| NPI | 1083795264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA08365500) |
| Additional Taxonomies | 2084N0600X (Licence: CT 044606) |
| 2084N0600X (Licence: NJ 25MA08365500) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-02-16 |