| NPI | 1447663729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS15068) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2022-03060) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 320313) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2025-08-12 |