| NPI | 1376938662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: LA 313251) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MS 30842) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-03-14 |