| NPI | 1033591979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC MD38502) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 202002025) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 85594) | |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2026-06-26 |