| NPI | 1386241347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY P107222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P107222) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2025-02-04 |