| NPI | 1225568736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS022269) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB11851600) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 320151-01) | |
| Enumeration Date | 2017-06-16 |
| Last Update Date | 2025-08-29 |