| NPI | 1316356223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 296717) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A141604) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2022-07-11 |