| NPI | 1619103835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D96286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241235) |
| 207R00000X Internal Medicine (Licence: MD D96286) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 241235) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2023-11-03 |