| NPI | 1306306402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 48925) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 81075) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 57189) | |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2025-10-15 |