| NPI | 1184638140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 187375) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 187375) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 187375) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-04-29 |