| NPI | 1841289634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: NJ 25MA08061700) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 216559) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2017-10-26 |