| NPI | 1033631692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA11661900) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101285543) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: NJ 25MA11661900) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NJ 25MA11661900) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2025-05-22 |