| NPI | 1225776958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 32417) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS PIER-1N3BMQ) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2024-08-06 |