| NPI | 1356500250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 278559) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 278559-1) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2018-07-06 |