| NPI | 1083725618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AR R3864) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 11653) |
| 2084P0805X (Licence: TN MD0000017538) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-11 |