| NPI | 1245338441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 331097) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101240328) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 22812) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-07-11 |