| NPI | 1083106199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 011304) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0074414) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV SL1575) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 333475) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2025-10-23 |