| NPI | 1356906549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V0741) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V0741) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2025-02-13 |