NPI | 1477761443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA048196) |
Additional Taxonomies | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: NJ MA048196) |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NJ MA048196) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA048196) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ MA048196) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-08 |