NPI | 1629176631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA04662800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04662800) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2009-07-22 |