| NPI | 1083111066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 5786) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 335907-01) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.017948) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2025-08-04 |