| NPI | 1114548963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD488489) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD488489) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2026-01-14 |