| NPI | 1548441298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 257713) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 390200000X) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2016-11-21 |