| NPI | 1205824356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: MA 295229) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: NJ 25MA07840800) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA07840800) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 82140) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 295229) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2024-08-11 |