| NPI | 1366973125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD473745) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 295874) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA11156500) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-08-06 |