| NPI | 1023758679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0077136) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-53318) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042.0018550) | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2026-07-01 |