| NPI | 1477182202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 69665) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 30897) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 77079) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-12-17 |