| NPI | 1760472765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 2067682UPD) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI MD-9818) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0069278) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101257141) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2023-03-26 |