| NPI | 1255300778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA08954700) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME 017038) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-06-17 |