| NPI | 1194872648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: NY 2357281) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: VA 0101239023) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2014-10-10 |