| NPI | 1629620539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 76101) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351045303) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 318178) | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2024-05-08 |