NPI | 1831319508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA065948) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ MA065948) |
208U00000X Clinical Pharmacology (Licence: NJ MA065948) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2007-07-08 |