| NPI | 1629427521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 314637) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R10595) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA r10595) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-45222) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2024-05-20 |