| NPI | 1346293008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 15325) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 207179) |
| 2084P0805X (Licence: NY 207179) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-11-04 |