| NPI | 1033154141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 212036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 212036) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2010-11-08 |