| NPI | 1548763063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101267468) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0107585) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 346201) | |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2026-07-10 |