| NPI | 1114556958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 71875) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301512488) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 327240) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-10-29 |