| NPI | 1255590022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 247313) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 251699) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 251699) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-05-27 |