NPI | 1609372887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA11804800) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0015202) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 74152) | |
Enumeration Date | 2018-04-05 |
Last Update Date | 2023-08-14 |