| NPI | 1164538401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 31512020) |
| Additional Taxonomies | 2084P0805X (Licence: WI 31512020) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2025-09-11 |