| NPI | 1528378601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 275750) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 275750) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0074198) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2024-11-08 |