| NPI | 1205401320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61465242) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL TPME8342) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 28703) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 339685) | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2026-02-19 |