| NPI | 1972820603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: MA 282090) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 274324) |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: NY 274324) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2021-05-26 |