| NPI | 1396190252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10755100) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 61601) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 319465) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-05-21 |