| 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 | 2025-09-11 |