NPI | 1124286356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10347800) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2007-02006) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD440910) | |
Enumeration Date | 2008-05-23 |
Last Update Date | 2022-07-21 |