| NPI | 1346266939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA06934000) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ MA069340) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-02-22 |