| NPI | 1689835654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD180324) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 255022) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A120707) | |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2024-09-04 |