| NPI | 1417170143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 81768) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 39264) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2023-00016) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101240439) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2025-10-01 |