| NPI | 1669504478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA06489800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06489800) |
| 207R00000X Internal Medicine (Licence: MI 4301073535) | |
| 207R00000X Internal Medicine (Licence: MT 11149) | |
| 207R00000X Internal Medicine (Licence: OH 89148) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NJ 25MA06489800) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MI 4301073535) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MT 11149) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OH 89148) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301073535) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 11149) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 89148) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2013-05-28 |