| NPI | 1174606917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9601323) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101282680) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 82050) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2026-03-24 |