| NPI | 1023034758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 291871) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MS 10944) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 10944) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-01-11 |