NPI | 1487914404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10069400) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME14169) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 271782) | |
Enumeration Date | 2012-05-23 |
Last Update Date | 2023-04-02 |