| NPI | 1568678555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA02337000) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 044996) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 23370) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |