| NPI | 1174507594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 190585) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NY 190585) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NY 190585) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-08-01 |