| NPI | 1174184865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB11275200) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 123) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2023-00967) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-05-27 |