| NPI | 1538434923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 39885) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 281297) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 76682) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2020-05-18 |