| NPI | 1447243944 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 103764)  | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1243)  | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036131726)  | |
| Enumeration Date | 2005-08-30 | 
| Last Update Date | 2025-07-03 |