| NPI | 1104480474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A22682) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 314249) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023036759) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2025-04-28 |