| NPI | 1477566222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA74749) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-03-11 |