| NPI | 1891927158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09377200) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD437969) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME 018558) | |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2024-05-02 |