| NPI | 1013196187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 200516) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 200516) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |