| NPI | 1417032269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 213875) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 171042) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA11234000) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2021-09-22 |