| NPI | 1225664212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 98878) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 98878) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2026-07-06 |