| NPI | 1912936824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A91413) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 216200) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 216200NY) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-08-25 |