| NPI | 1104346972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102206460) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 319520) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC D0210011768) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD H0099644) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-06-03 |