| NPI | 1518589654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: NY 331914) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 331914) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2025-07-09 |