| NPI | 1114544160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA12869800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220612) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2025-10-08 |