| NPI | 1336331727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA12701200) |
| Additional Taxonomies | 2084N0600X (Licence: CT 050252) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 5545) | |
| 2084N0600X (Licence: TX BP10038675) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 281570) | |
| 2084N0600X (Licence: NY 262906-1) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2025-10-10 |