NPI | 1811192255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08302400) |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NJ 25MA08302400) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NJ 25MA08302400) | |
Enumeration Date | 2007-06-17 |
Last Update Date | 2012-07-12 |