| NPI | 1528217494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 272213) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 272213) |
| 2084P0805X (Licence: MD 272213) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2015-11-18 |