| NPI | 1215290176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 285020) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 103772885) |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: NY 285020) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2023-03-28 |