| NPI | 1255754347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MA060633) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0000926) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2023-06-01 |