| NPI | 1780711382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA07334900) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 73349) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 211897) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-10-13 |