| NPI | 1457728289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA12036500) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NJ 25MA12036500) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 307900) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2024-04-11 |