| NPI | 1174916936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX 747566) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 28774) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 342915) | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2026-09-11 |