| NPI | 1609325117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 320340) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A183029) |
| 208D00000X General Practice (Licence: NY P03094) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2024-04-04 |