| NPI | 1447415039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 308156) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 241867) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2025-12-16 |