| NPI | 1114903465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 198681) |
| Additional Taxonomies | 2084B0002X Psychiatry & Neurology, Bariatric Medicine (Licence: NY 198681) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 198681) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-03-07 |