| NPI | 1255869269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 331533) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-49543) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 331533) | |
| 207Q00000X Family Medicine (Licence: IA MD-49543) | |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2024-10-18 |