| NPI | 1952682650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U3515) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD448196) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 270601-1) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2023-08-11 |