| NPI | 1659368769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 145890) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 145890) |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: NY 145890) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2015-08-04 |