| NPI | 1154714111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A162782) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 283422) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 283422) | |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2022-08-11 |