| NPI | 1376839142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 287284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200328) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2023-04-14 |