| NPI | 1184201741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101275875) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101275875) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2025-09-10 |