| NPI | 1306403183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 497) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 70776) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 17557) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-06-06 |