| NPI | 1184853897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 297365) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18,069) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2020-01-29 |