NPI | 1548608623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA12424600) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 18221) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2024-11-14 |