| 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 (Licence: NJ 25MA08302400) | |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2012-07-12 |