| NPI | 1427279462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NJ 25MA09792400) |
| Additional Taxonomies | 2084P0805X (Licence: PA MD444328) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-01-07 |