| NPI | 1457723462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2018042196) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA IMLC.MD.70145627) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2026-07-02 |