| NPI | 1609859198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: NY 209772) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 209772) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2025-09-11 |