| NPI | 1760987010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 310508) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 310508) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-07-17 |