| NPI | 1063914281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101267491) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101267491) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2025-06-22 |