| NPI | 1477581957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA07400600) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA074006) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM TM2013-0777) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-01-12 |