| NPI | 1316231822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10736200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247633) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2020-02-25 |