| NPI | 1073138335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS023013) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 335660) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS21868) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2025-10-31 |