| NPI | 1750449286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA06067000) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NJ 25MA06067000) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2012-10-24 |