| NPI | 1336342567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2023-03476) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME109724) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301087724) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2025-11-12 |