| NPI | 1255711545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332868) |
| Additional Taxonomies | 2084B0002X Psychiatry & Neurology, Bariatric Medicine (Licence: NY 332868) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2024-11-19 |