| NPI | 1154749844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 2OA22571) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.163359) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0541795) | |
| 208D00000X General Practice (Licence: KS 0541795) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2025-08-29 |