| NPI | 1144882192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301511838) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD20765) |
| 2084P0805X (Licence: RI MD20765) | |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2025-07-08 |