| NPI | 1023538865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 324130) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT017943) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-07-31 |