| NPI | 1720326242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0010976) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09177100) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD446726) | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2014-07-10 |