| NPI | 1659453504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 279582) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16511) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-09-02 |