| NPI | 1275758948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0062227) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M6391) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 263366) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2011-12-16 |