| NPI | 1811153083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 56188) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125047642) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125047642) | |
| 207R00000X Internal Medicine (Licence: NY 252024) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2011-09-07 |