| NPI | 1073580387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME163678) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-103100) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 319816) | |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2024-01-05 |