| NPI | 1982131439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA12283500) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2024-07-23 |