| NPI | 1093811127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 28783) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101035007) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR C-5820) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2025-09-11 |