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 |