| NPI | 1376047753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 69238) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME155006) |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CT 69238) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 346203) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2026-07-07 |