| NPI | 1891038774 |
|---|---|
| Former Name | STACEY ELKHATIB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NJ 25MA10985100) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA10985100) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2021-11-12 |