| NPI | 1386842813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 252401) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 78377) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0064440) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR T2020-116) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-05-06 |