| NPI | 1962430280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 235828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235828-1) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 235828) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-10-14 |