| NPI | 1881718138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 157420-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1574201) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-02-05 |