| NPI | 1295182038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS16598) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 314465) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 202000603) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2025-06-30 |