| NPI | 1043878705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-50216) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 87756-20) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-11583) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2026-07-01 |