| NPI | 1801200019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NJ 25MB10910300) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB10910300) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2025-12-31 |