| NPI | 1891007142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101268557) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 0000000000000000000) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD479205) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2022-08-30 |