| NPI | 1376697177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY NYS 219024) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 219024) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-07-30 |