| NPI | 1497133813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 297072) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS022564) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102207594) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2023-10-13 |