| NPI | 1548219181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 225834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83043) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-05-24 |