| NPI | 1306306006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 82451) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME168241) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 89785) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2026-02-17 |