NPI | 1740297969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 167791) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NY 167791) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 167791) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2012-10-01 |