| NPI | 1497048581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 278970) |
| Additional Taxonomies | 2084P0805X (Licence: NY 278970) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2017-02-22 |