| NPI | 1568082816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 339560) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0070926) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25IA12825900) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 82880) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2025-12-10 |