NPI | 1699090704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 292033) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 292033) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2019-08-28 |