NPI | 1609021922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 265259) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10468400) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V3004) | |
Enumeration Date | 2008-12-01 |
Last Update Date | 2024-09-19 |