| NPI | 1154375756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 57886) |
| Additional Taxonomies | 2084P0805X (Licence: GA 57886) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-06-25 |