| NPI | 1124608211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME172570) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 109716) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 336874) | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2025-10-29 |