| NPI | 1225520620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V0144) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 333027) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2024-0060) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX V0144) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-11-13 |