| NPI | 1568648897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X (Licence: NH 14388) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 246874) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2024-02-12 |