| NPI | 1992970065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09167100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.052353) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 250461) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-05-08 |