| NPI | 1104515311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA G174269) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IA 155203) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-18 |