| NPI | 1194930917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101242526) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-17108) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 69649) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2025-09-15 |