| NPI | 1225317100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD175583) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MDST720) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0077469) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2023-12-28 |