| NPI | 1528053154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA09750500) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 211463-1) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-12-01 |