| NPI | 1194743559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 151612) |
| Additional Taxonomies | 2085R0203X Radiology Therapeutic Radiology (Licence: NJ 25MA08059400) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA08059400) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL 61594) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-06-07 |