| NPI | 1972753663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 250105) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C158223) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 49153) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2022-02-11 |