NPI | 1326223660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 260549-01) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 11682) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 260549) | |
Enumeration Date | 2008-01-06 |
Last Update Date | 2024-05-07 |