| NPI | 1629050554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA04848400) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA48484) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01085335A) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-10-16 |