| NPI | 1538316823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286728) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 051782) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 286728) | |
| 207R00000X Internal Medicine (Licence: CT 051782) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2023-08-24 |