| NPI | 1801841580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 151237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 151237) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA0051606) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 18729) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-09-09 |