| NPI | 1083118038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2020027393) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 37184) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 340146) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-10-22 |