| NPI | 1073788659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME133554) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01067522A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R1172) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2025-03-06 |