| 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 |