NPI | 1396834164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA04063900) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME62099) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2018-03-08 |