| NPI | 1417984816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME89531) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NY 126223) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 126223) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 126223) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-09-05 |