| NPI | 1669205696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY P130258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P130258) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2025-01-17 |