| NPI | 1184774069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA08516700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 211314) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08516700) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 211314) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 211314) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-03-03 |