| NPI | 1992760441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ MA04279) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ MA04279) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |