| NPI | 1285817551 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 266011) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 239796) | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD039818) | |
| Enumeration Date | 2007-12-10 | 
| Last Update Date | 2012-08-01 |