| NPI | 1982142550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 317453) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD479425) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 224287) | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2023-06-22 |