| NPI | 1174986749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101028294) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 93552) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 5914) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0064192) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2025-09-15 |