| NPI | 1447888680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A25010) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS024346) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 329372) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB12209500) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2026-04-03 |