| NPI | 1073928370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 296688) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 296688) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-03-30 |