| NPI | 1205240850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T4174) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01080858A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI EMC0004494) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2025-07-14 |