| NPI | 1760738843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 285268) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ AB2268301-171) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2022-12-01 |