NPI | 1407143043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NJ 25MA11716700) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11716700) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25ma11716700) | |
Enumeration Date | 2011-07-04 |
Last Update Date | 2023-08-01 |